On Wednesday, I was invited to speak to a group of local doulas, the Mt. Diablo Doula Community, about prevention of Perinatal Mood and Anxiety Disorders (PMADs), as well as how to recognize the disorders and how to help their clients. I hope the presentation might be helpful for doulas who are wanting more information about these disorders and what role they can play in keeping moms healthy and happy. You can access the Presentation Here. Attachments to the presentation are the Edinburgh Postnatal Depression Scale and an associated Suicide Screening Interview.

Letting Go of What We Give Up When We Become Parents, by Meri Levy, MFT

In becoming parents, along with the love and joy that a baby brings, we often face issues that arise relating to our own childhood experiences. For many people, the unmet needs and wants from our childhood simmer below the surface, and the arrival of a baby and the transition to becoming a parent can bring them to the forefront.

It is important to allow ourselves to grieve the losses that are a part of becoming a parent — the loss of nurturing we feel as the focus shifts to nurturing our child, the loss of independence, and our diminished ability to focus on our own needs — and work on letting go of unmet expectations regarding our own childhood.

The phases of grieving have long been studied and are well understood, although their duration, order and intensity can vary greatly, and each individual’s experience is unique.

The first phase is denial: in this case we deny feelings of loss because they seem inappropriate or are too uncomfortable to deal with.

The second phase is anger, and this can take many forms: anger at our partner for their lack of support, anger at our parents for perceived flaws, anger at friends for their lack of understanding of the changes we are experiencing. And even sometimes anger at our child, for the endless demands or because our baby differs from our expectations.

The third phase of grief is bargaining: attempting to avoid or undo our uncomfortable feelings. “If only I had a more supportive husband…, or an easier baby,” etc. These are ways we avoid dealing with the fact that parenting is incredibly hard work, and that our unmet needs from childhood have not and most likely will not be met.

The fourth phase of grief is depression. This can include intense sadness, feelings of hopelessness, loss of interest in life, and a feeling of numbness. Depression is a normal phase of grieving, but when it becomes severe (i.e. thoughts of harming oneself or others) or persistent (more than two weeks), it is crucial to get help.

The fifth and final phase of grief is acceptance. We feel comfortable in our new role as parents. We accept, and can even joke about, how our life has changed and how our child has become the center of our world. And importantly, we do what we can to nurture ourselves, without blaming others, without feeling guilty, knowing that we deserve taking care of, even if the only one who can do it is ourself.

I am a Licensed Marriage and Family Therapist and Coach-Parenting™ Certified Coach. I offer individual and couples therapy, as well as parenting support and coaching to a wide range of individuals and families. I see clients at my office in Lafayette, California, which is in the San Francisco East Bay Area. I also lead a postpartum support group called the Postpartum Emotional Recovery Circle.

My early career was in the field of public policy until after the birth of my first two children. Then I founded a business supporting new parents and families for eight years before beginning my training as a Marriage and Family Therapist. I am a Certified Lactation Educator, and have years of experience leading new parent support groups and helping new parents with feeding, sleep, infant care and the sometimes challenging transition to parenthood. I am now the mother of three children, ages 11, 14 and 17, a survivor of postpartum depression and anxiety, and I have parented a spirited child who has grown into a wonderful young man, so I’ve been there!

I earned my B.A. from Tufts University, a M.A. in Economics from New Mexico State University, and a Masters in Counseling Psychology from John F. Kennedy University. I am a member of the California Psychological Association as well as the California Association of Marriage and Family Therapists, East Bay Chapter. In addition, I am a member of Postpartum Support International, Mt. Diablo Perinatal Psychotherapy Associates and the Mt. Diablo Family Resource Network. I am a Topic Expert on Postpartum Depression on www.GoodTherapy.org.

In addition to psychotherapy services and support groups, I offer training regarding the prevention, identification and treatment of perinatal mood and anxiety disorders and am available as a speaker on topics relating to maternal mental health.